By Wallace L. M. Alward MD, Reid A. Longmuir MD
Profitable gonioscopy is necessary within the prognosis of glaucoma and is a necessary part of any thorough eye exam. it's also probably the most tough ophthalmological ideas to profit and practice. the second one version is a finished creation to gonioscopic concepts and a necessary handbook for clinicians wishing to be informed in studying the anterior section of the attention. Highlights comprise new sections on selective laser trabeculoplasty, ultrasound biomicroscopy, and anterior section ocular coherence tomography; up to date textual content and references; and, approximately four hundred drawings and pictures. To vividly illustrate key exam concepts, a supplemental DVD good points videos of 12 uncomplicated and complicated gonioscopic suggestions.
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Extra info for Color Atlas of Gonioscopy, 2nd ed.
The normal iris demonstrates radial markings with crypts (3 and 83). Blue irides have more prominent markings and crypts than thick, brown irides. It is valuable to compare these surface features between the two eyes. In some pathologic conditions, such as Fuchs' heterochromic iridocyclitis, the normal markings are lost, giving the iris a flat, featureless appearance. The iris also has concentric contraction rolls, which are most prominent when the pupil is large anq the iris bunched. The most peripheral roll of the iris is frequently more prominent than other contraction rolls (83).
60 as a prominent Schwalbe's line. There Developmental Axenfeld-Rieger Abnormalities of the Angle Syndrome The family of disorders known as the AxenfeldRieger syndrome includes Axenfeld's anomaly, Rieger's anomaly, and Rieger's syndrome. These are developmental abnormalities that represent a spectrum of anatomic changes ranging from localized ocular abnormalities to systemic abnormalities. Like primary infantile glaucoma, they are developmental disorders of the anterior chamber, but they are morphologically distinct from primary infantile glaucoma.
Patients experience sudden, severe pain with blurred vision and may have nausea and vomiting. Attacks generally occur in dark environments or during periods of intense emotion. Pupillary block is most likely to occur in mid-dilation, when there is greatest lens-iris contact. A patient who does not develop pupillary block when the pupil is fully dilated in the physician's office may develop an attack later in the day when the pupil returns to mid-dilation. In acute angle-closure glaucoma the affected 145 144 144 Sketch of pupillary block.